Ama\u00e7<\/strong>: Tularemi hastal\u0131\u011f\u0131 \u00fclkemizde salg\u0131nlara sebep olmaktad\u0131r. \u00d6zellikle son y\u0131llarda pek \u00e7ok ilde hasta bildirimleri yap\u0131lmaktad\u0131r. Biz bu \u00e7al\u0131\u015fmada, Sivas ilinde saptanan ilk tularemi hastalar\u0131n\u0131 ve bu hastalar\u0131n \u00e7e\u015fitli \u00f6zelliklerini bildirdik.\u00a0<\/p>\n Y\u00f6ntemler<\/strong>: Cumhuriyet \u00dcniversitesi Uygulama ve Ara\u015ft\u0131rma Hastanesi \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Klini\u011fi\u2019nde Ocak 2009-Haziran 2010 tarihleri yat\u0131r\u0131larak izlenen 29 hasta retrospektif olarak incelendi. Hastalar\u0131n serolojik tan\u0131s\u0131 mikroagl\u00fctinasyon (MA) testi ile konuldu. Demografik \u00f6zellikler ile klinik ve laboratuvar bulgular\u0131na hasta dosyalar\u0131ndan ula\u015f\u0131ld\u0131.\u00a0<\/p>\n Bulgular<\/strong>: Hastalar\u0131n 15\u2019i erkek, 14\u2019\u00fc kad\u0131n; ya\u015f ortalamas\u0131 41.8 idi. \u015eikayetlerin ba\u015flamas\u0131ndan tularemi tan\u0131s\u0131 alana kadar ge\u00e7en s\u00fcre ortalama 38 g\u00fcnd\u00fc. \u0130ki hastan\u0131n lenf gangliyonu aspirat\u0131nda Francisella tularensis i\u00e7in polimeraz zincir reaksiyonu \u00a0pozitif bulundu. Salg\u0131n\u0131n su kaynakl\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fcld\u00fc. En s\u0131k saptanan klinik form orofaringeal form idi (%75.9). Hastalar\u0131n \u00e7o\u011funda (%93.1) servikal lenfadenopati (LAP) vard\u0131. \u00c7al\u0131\u015fmaya kat\u0131lan hastalar\u0131n %72.4\u2019\u00fcnde tularemi tan\u0131s\u0131 almadan \u00f6nce farkl\u0131 tan\u0131larla antibiyotik kullan\u0131m \u00f6yk\u00fcs\u00fc vard\u0131. Tularemi tedavisinde en s\u0131k streptomisin + doksisiklin kombinasyonu kullan\u0131ld\u0131 (%44.8). Hastalar\u0131m\u0131z\u0131n hi\u00e7birinde yara skar\u0131 d\u0131\u015f\u0131nda sekel geli\u015fmedi ve kaybedilen hastam\u0131z olmad\u0131.<\/p>\n Sonu\u00e7lar<\/strong>: Daha \u00f6nce g\u00f6r\u00fclmedi\u011fi b\u00f6lgeler de dahil olmak \u00fczere klinisyenlerin tularemi konusunda dikkatli olmas\u0131 gereklidir. Tonsillofarenjit ile birlikte olan ya da tonsillofarenjit olmaks\u0131z\u0131n, tek ya da \u00e7ift tarafl\u0131 LAP\u2019\u0131 olan hastalar\u0131n ay\u0131r\u0131c\u0131 tan\u0131s\u0131nda tularemi mutlaka d\u00fc\u015f\u00fcn\u00fclmelidir.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":" \u00d6zet Ama\u00e7: Tularemi hastal\u0131\u011f\u0131 \u00fclkemizde salg\u0131nlara sebep olmaktad\u0131r. \u00d6zellikle son y\u0131llarda pek \u00e7ok ilde hasta bildirimleri yap\u0131lmaktad\u0131r. Biz bu \u00e7al\u0131\u015fmada, Sivas ilinde saptanan ilk tularemi hastalar\u0131n\u0131 ve bu hastalar\u0131n \u00e7e\u015fitli \u00f6zelliklerini bildirdik.\u00a0 Y\u00f6ntemler: Cumhuriyet \u00dcniversitesi Uygulama ve Ara\u015ft\u0131rma Hastanesi \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Klini\u011fi\u2019nde Ocak 2009-Haziran 2010 tarihleri yat\u0131r\u0131larak izlenen 29 hasta retrospektif olarak […]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[4063,3174],"class_list":["post-16457","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-sivas","tag-tularemi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16457","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=16457"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16457\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=16457"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=16457"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=16457"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}